Individual provider Active NPI

Anthony Frank Berardino, D.C.

  • Chiropractor
  • Wadsworth, OH
National Provider Identifier
1194752113
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1891 Issued in OH
Practice address
237 Leatherman Rd
Wadsworth, OH 44281-9236
Phone
(330) 336-2120
Fax
(330) 334-8305
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1891 OH Primary

Addresses

Primary practice location

237 Leatherman Rd
Wadsworth, OH 44281-9236

Mailing address

237 Leatherman Rd
Wadsworth, OH 44281-9236
Phone (330) 336-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000591 OH Practitioner - Chiropractic 3173536406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Starkey Chiropractic and Wellness LLCGroup PAC ID 2365693587, 4 clinicians

Practice addresses (Care Compare)

237 Leatherman Rd
Wadsworth, OH 44281-9236
Phone (330) 336-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Starkey Chiropractic & Wellness LLC Chiropractor CurrentSince Apr 2, 2019 Accepting new patients
Afbdc Willoughby Hills Family Chiropractic Chiropractor PastSince Jan 1, 2006 Accepting new patients

Locations

237 Leatherman Rd
Wadsworth, OH 44281
Phone (330) 336-2120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1194752113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 LEATHERMAN RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819236",
            "telephone_number": "330-336-2120",
            "fax_number": "330-334-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LEATHERMAN RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819236",
            "telephone_number": "330-336-2120",
            "fax_number": "330-334-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDINO",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.